Organization
RECKLEY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PATRICK RECKLEY O.D. (OWNER)
(317) 781-9090
Entity
Organization
Contact information
Practice address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
Mailing address
5611 S MERIDIAN ST, INDIANAPOLIS, IN 46217-3750
(317) 781-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002071
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277610A
—
IN
Enumeration date
08/17/2016
Last updated
09/30/2016
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